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1111111111111111110 <br /> TQS C_ ,•y 56-660 Chesapeake Drive•Redwoo City, 40633921-9600 <br /> 364 39 1 e, ite 1 l e <br /> �'J't U 819 Striker Ave,Suite S•Sacramento,CA 95834 Q East 11115 Montgomery,Suite 8•Spokane,WA 992A6•(5D 9200 <br /> 1 <br /> Cl 404 N Wige!Lane•Walnut Greek,CA 94598•(510)988 9600 U 15055 S W Sequoia Pkwy suite 110•Portland OR 97222•(50 4 98 <br /> Consultant Company � Eye ✓ Project Name 311 -11`1 I A- <br /> Address , ONGGA-L Project Manager pa Sg r- <br /> CitydVLJ0 State n Zip Code 9S7/0 AFE 4 C: <br /> Telephone �8• -75�d FAX # �S 3 $ 411- 5�4�� Si _� 1 l <br /> Site #, City, State �_ U <br /> Report To _ rn V Sam ler v QC Data Level D (Standard) ❑ Level C ❑ Level B F3 Level A a <br /> Turnaround [ '101�Vork Days ❑ 5 Wppork��yZ ❑Is//Work Day ❑ Drinking Water =Anal Re uested r Z(7t1q <br /> Time ❑i2 Work Das Ef k Da 2- `Fours ❑ Waste Water <br /> CODE' ❑ Misc ❑ Detect Fd Eval ❑ Remed ❑ Demol ❑ Closure I F-IOlhe <br /> Client Date/Time Matrix Laboratory#of . Comments <br /> Sample I D Sampled Desc Cont Type Sample # <br /> 0 <br /> Z 12"s J <br /> 00 <br /> P <br /> r5 7 3 <br /> 3n <br /> - <br /> PP-2 s o <br /> 0 PP-3 <br /> J <br /> Date line 70 Received B ' M Fncl Date a r Time !30 , <br /> Relinquished By <br /> Relinquished By Date Time Received B <br /> Date 17 '1g Time �S <br /> o� �� <br /> ki �7 Dat Time Received B Lab Date Time <br /> Relin uished B ti <br /> Q�1, �,, 1/ >� ��Yes❑ No Method of Shi ment Page of <br /> 0-, if5a s eceided Godeondit on i�Yes U Na Samples on Ice p <br /> e comp eted upon receipt of reportstill <br /> \%).Were the analyses requested on tumarouhe Chain of dy reported?nd time? 0 Y�❑ Na iYes U f no, whawwasthelyses tumaraou d t1me needed? ------- <br /> Was the report issued within the requested Date <br /> Y <br />